Dorsal Spinal Ligamentum Flavum Thickening: A Magnetic Resonance Imaging Study

Study DesignA retrospective radiological study of the ligamentum flavum (LF).PurposeWe determined the relationship of dorsal spinal LF thickening with age and sex using magnetic resonance imaging (MRI). We also determined whether LF thickening has a predominant tendency to occur at a specific dorsal...

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Main Authors: Amarnath Chelladurai, Suhasini Balasubramaniam, Sarenya Preyah Anbazhagan, Sathyan Gnanasihamani, Sukumar Ramaswami
Format: Article
Language:English
Published: Korean Spine Society 2018-02-01
Series:Asian Spine Journal
Subjects:
Online Access:http://www.asianspinejournal.org/upload/pdf/asj-12-47.pdf
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author Amarnath Chelladurai
Suhasini Balasubramaniam
Sarenya Preyah Anbazhagan
Sathyan Gnanasihamani
Sukumar Ramaswami
author_facet Amarnath Chelladurai
Suhasini Balasubramaniam
Sarenya Preyah Anbazhagan
Sathyan Gnanasihamani
Sukumar Ramaswami
author_sort Amarnath Chelladurai
collection DOAJ
description Study DesignA retrospective radiological study of the ligamentum flavum (LF).PurposeWe determined the relationship of dorsal spinal LF thickening with age and sex using magnetic resonance imaging (MRI). We also determined whether LF thickening has a predominant tendency to occur at a specific dorsal level and on a specific side.Overview of LiteratureMany researchers have studied LF thickness at dorsal levels in patients with compressive myelopathy. However, there is a dearth of literature pertaining to the study of dorsal LF thickness in patients without myelopathy.MethodsLF thickness was measured at dorsal levels from T1 to T12 on both sides using MRI in 100 individuals. The patients were divided into three groups based on age: 20 to 40, 41 to 60, and >60 years. On axial T2-weighted imaging at the mid-disc level, LF thickness was measured perpendicular to the lamina border, either at half the length of LF or at maximum thickness, whichever was greater.ResultsWe found that LF thickness does not increase significantly with increasing age and there was no significant disparity in LF thickness between the sides and sexes. We also found that there was a significant increase in LF thickness at the T10–T11 level (mean value, 3.27±0.94 mm).ConclusionsLF thickness does not appear to have any side/sex dominance. LF thickening has a predominant tendency to occur specifically at the T10–T11 level. This may be due to maximum tensile strength and mobility at this level. Because there is an increased tendency for LF thickening at the T10–T11 level, this may be used as a reference point for counting the vertebral levels.
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spelling doaj.art-ba41921494594257bf2b5d7b5451b4632022-12-22T03:42:35ZengKorean Spine SocietyAsian Spine Journal1976-19021976-78462018-02-01121475110.4184/asj.2018.12.1.47365Dorsal Spinal Ligamentum Flavum Thickening: A Magnetic Resonance Imaging StudyAmarnath Chelladurai0Suhasini Balasubramaniam1Sarenya Preyah Anbazhagan2Sathyan Gnanasihamani3Sukumar Ramaswami4Department of Radiodiagnosis, Stanley Medical College, Chennai, India.Department of Radiodiagnosis, Stanley Medical College, Chennai, India.Department of Radiodiagnosis, Stanley Medical College, Chennai, India.Department of Radiodiagnosis, Stanley Medical College, Chennai, India.Department of Radiodiagnosis, Stanley Medical College, Chennai, India.Study DesignA retrospective radiological study of the ligamentum flavum (LF).PurposeWe determined the relationship of dorsal spinal LF thickening with age and sex using magnetic resonance imaging (MRI). We also determined whether LF thickening has a predominant tendency to occur at a specific dorsal level and on a specific side.Overview of LiteratureMany researchers have studied LF thickness at dorsal levels in patients with compressive myelopathy. However, there is a dearth of literature pertaining to the study of dorsal LF thickness in patients without myelopathy.MethodsLF thickness was measured at dorsal levels from T1 to T12 on both sides using MRI in 100 individuals. The patients were divided into three groups based on age: 20 to 40, 41 to 60, and >60 years. On axial T2-weighted imaging at the mid-disc level, LF thickness was measured perpendicular to the lamina border, either at half the length of LF or at maximum thickness, whichever was greater.ResultsWe found that LF thickness does not increase significantly with increasing age and there was no significant disparity in LF thickness between the sides and sexes. We also found that there was a significant increase in LF thickness at the T10–T11 level (mean value, 3.27±0.94 mm).ConclusionsLF thickness does not appear to have any side/sex dominance. LF thickening has a predominant tendency to occur specifically at the T10–T11 level. This may be due to maximum tensile strength and mobility at this level. Because there is an increased tendency for LF thickening at the T10–T11 level, this may be used as a reference point for counting the vertebral levels.http://www.asianspinejournal.org/upload/pdf/asj-12-47.pdfLigamentum flavum thickeningT10–T11Dorsal levelsAge
spellingShingle Amarnath Chelladurai
Suhasini Balasubramaniam
Sarenya Preyah Anbazhagan
Sathyan Gnanasihamani
Sukumar Ramaswami
Dorsal Spinal Ligamentum Flavum Thickening: A Magnetic Resonance Imaging Study
Asian Spine Journal
Ligamentum flavum thickening
T10–T11
Dorsal levels
Age
title Dorsal Spinal Ligamentum Flavum Thickening: A Magnetic Resonance Imaging Study
title_full Dorsal Spinal Ligamentum Flavum Thickening: A Magnetic Resonance Imaging Study
title_fullStr Dorsal Spinal Ligamentum Flavum Thickening: A Magnetic Resonance Imaging Study
title_full_unstemmed Dorsal Spinal Ligamentum Flavum Thickening: A Magnetic Resonance Imaging Study
title_short Dorsal Spinal Ligamentum Flavum Thickening: A Magnetic Resonance Imaging Study
title_sort dorsal spinal ligamentum flavum thickening a magnetic resonance imaging study
topic Ligamentum flavum thickening
T10–T11
Dorsal levels
Age
url http://www.asianspinejournal.org/upload/pdf/asj-12-47.pdf
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AT sarenyapreyahanbazhagan dorsalspinalligamentumflavumthickeningamagneticresonanceimagingstudy
AT sathyangnanasihamani dorsalspinalligamentumflavumthickeningamagneticresonanceimagingstudy
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